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患者男,20岁,制药厂工人。于1991年8月26日晚在工作中不慎被高温药液、蒸汽烫伤,伤后2小时急诊入院。入院时病情危重。查体:体温36.5℃,呼吸20次/分,脉搏80次/分,神志清楚,精神萎靡,肢端湿冷,四肢躯干双臀创面呈灰白色。诊断为80％Ⅱ°、Ⅲ°烫伤(Ⅲ°50％,深Ⅱ°30％)。当即住入抢救室,行静脉切开置管输血、输血浆、补液,应用新青霉素Ⅱ、丁胺卡那霉素抗感染,静点甲氰咪胍,肌注破伤风抗毒素等。留置导尿,引出血红蛋白尿200ml。经处理病情稍平稳后,行清创并按湿润烧伤疗法要求,创面涂湿润烧伤膏(中国长青制药厂出品,由湿润烧伤疗法学习班主办者提供)。以后每日
Patient male, 20 years old, pharmaceutical factory worker. On the evening of August 26, 1991, he was accidentally exposed to high temperature liquid medicine and steam by his work, and was admitted to the hospital for emergency treatment 2 hours after the injury. Critical condition on admission. Physical examination: body temperature 36.5 ℃, breathing 20 beats / min, pulse 80 beats / min, conscious, apathetic, extremities wet, limbs double hip gluconeomatic wound. The diagnosis was 80% II °, Ⅲ ° scald (Ⅲ ° 50%, deep Ⅱ ° 30%). Immediately admitted to the emergency room, the line venous catheter blood transfusions, plasma transfusion, the application of new penicillin Ⅱ, amikacin anti-infection, intravenous cimetidine, intramuscular injection of tetanus antitoxin and so on. Indwelling catheterization, lead to hemoglobinuria 200ml. After the treatment of a little stable condition, debridement and according to the requirements of moisturizing burn wounds, wounds coated with MEBO (produced by China Evergreen Pharmaceutical Factory, provided by the sponsor of the moist burn therapy classes). After daily